You have decided that you need to apply a tourniquet to the patient's left arm because he accidentally amputee his wrist with a circular saw while cutting planks for a building project. Which statement is MOST accurate?
A. Apply the tourniquet proximal to the wound but not over a joint.
B. Apply the triquet over the elbow joint to stop the bleeding.
C. Twist the rod or windlass till the bleeding is not spurting, jus simply flowing.
D. Apply the tourniquet distal to the wound.
Answer: A. Apply the tourniquet proximal to the wound but not over a joint.
If bleeding is not controlled with direct pressure, the next step is to apply a tourniquet. Many commercial tourniquets are now available. Wrap the tourniquet around the extremity at a point just proximal to the bleeding but as distal on the extremity as close to the injury as possible. Do not cover the wound or a joint. Tighten the tourniquet until hemorrhage ceases. Secure the tightening rod or device, write the time of tourniquet application on tape and secure it to the tourniquet. Never cover the tourniquet or side of bleeding. Continuously reassess the wound for recurrent bleeding.
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